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Home My WebLink About20 MCGUIRE RD 1 Town of South Windsor Building Department 4 ��c ,h�SOR Cyr Building Permit: BLDP-21-107 APPLICANT NAME: Daniel Rodrigues EMAIL ADDRESS: dannyrossa@gmail.com ADDRESS: 485 New Park Ave West Hartford , CT 06110 LOCATION ADDRESS: 20 MCGUIRE RD South Windsor CT6074 OWNER: LIN YU CHAI & 20 MCGUIRE ROAD SOUTH WINDSOR CT 6074 DESCRIPTION OF WORK: Install 25 vinyl replacement windows February 22, 2021 BUILDING OFFICIAL DATE SIGNED -ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT"" "•PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL' - Town of South Windsor Building Department 'may 'AS OR l0+ Building Permit: BLDP-21-107 APPLICANT NAME: Daniel Rodrigues EMAIL ADDRESS: dannyrossa@gmail.com ADDRESS: 485 New Park Ave West Hartford , CT 06110 LOCATION ADDRESS: 20 MCGUIRE RD South Windsor CT6074 OWNER: LIN YU CHAI & 20 MCGUIRE ROAD SOUTH WINDSOR CT 6074 DESCRIPTION OF WORK: Install 25 vinyl replacement windows ZZ February 22, 2021 BUILDING OFFICIAL DATE SIGNED •"ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT"' —PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL— r ITa � ..: .., .-. ;^ � ':s r•ta. 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Ri,�Xv:�` j4y_ a IL 10 THE BUILDIAG DEFT, MVVN Of SOUTH 11i InSOR This eertifled that this plan anel specifications are true copies of the proposeq building or altarattons to be erected at dl� �C v,n Street t'g-ther with amendm;m% stated in application one fil,d with plan and 1 a6t-e to comply with all potting g ddtng and state laws and such orders as shall b, f+>ucd by the Building Department during pandsnc> of this application final Issuance of a buildins permit. S,,,ned rhts plan s roved subl,ct to the condition that ord,:rs a rdtnanccs regulating building shall be c i'lh.(I ith. Conditi ally Approved These filed with Id ng 1 spect ir Fler� g 5Vey I g r STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at w - In the town of Name of building permit applicant: Please check one: 1._I am the owner of the above property. 2._I am the sole proprietor of a business. 2A.Name of business •2B.Federal Employer Identification Number(FEIN) .................................................................................................................... Pursuant to§31-286b,"a property owner or sole proprietor[who]intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. I do not intend to act as a general contractor or principal employer. [Sign and stop here] Signature of applicant 2._I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. .................................................................................................................... Affidavit , I hereby swear and attest that I will require proof of worker's'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 568). I understand that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 20 McGuire Road Date: , HVAC # f. —ate Sprinkler# — -- ----— -- GJ FINAL APPROVALS - Estimated Cost $ S Building COMPLETE RED BOXED AREAS Permit Fee $ Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit - - - --- --- - -- -- — I _ — Appr. for CO. SIGN ON REVERSE SIDE / To 1 ee $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT � (Additionall�os�� The undersigned hereby applies to do work according to the following: Applicant Location of Work �Gv Lot No. Applicant's Address fv_ 5W ,,�, � ` l�/j,�� Tel.# Town �(A )�� ,+�� Zip Oa G Lic.# Owner — Architect Owner's Address Architect's Address zip e5 6-2 Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New 4' Pu se of this permit a�`7 v� cc1 City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO Cert. Adea Basement Garage Approved by Date/-- /G V Use Grou 'R__� Construction Type Revised 6/02 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be I the proper dist a from all stre ines,side yard lines,and required distances from all other zones and is located in whi his wilding an us is allowed. Signed I hereby apply for a Certificate of ccupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS 1